Can I still have the surgery if my labs are off?

Question

Hi, im having cosmetic surgery in 3 weeks, a tummy tuck and breast augmentation BUT im concern, i did my labs and a few things came out very high calcium,protein,albumin levels are high when I googled it saids that it could be my liver or a cancer and I can’t have a surgery, my platelets count is high as well.

Emmanuel De La Cruz, MD · Answer

If your lab results show abnormalities, it's essential to discuss these findings with your surgeon and your primary healthcare provider before proceeding with surgery. Abnormal lab results could indicate underlying health issues that might affect your safety during and after surgery.

The decision to proceed with surgery when lab results are off can depend on several factors:

Type of Abnormality: The specific abnormalities in the lab results and their potential impact on the surgery or your overall health are crucial considerations.

Procedure Complexity: The type of surgery planned and the potential impact of the abnormal labs on the procedure might influence the decision.

Health Risk Assessment: Your surgeon and healthcare team will assess the risks associated with the surgery in relation to the abnormal lab results and your overall health status.

Preoperative Optimization: Depending on the nature of the abnormalities, your surgeon might recommend further evaluation, treatments, or delays in the surgery to optimize your health before proceeding.

Sometimes, certain abnormalities can be managed or corrected before surgery to ensure better outcomes and reduce risks. Your surgeon may collaborate with other specialists or healthcare providers to address any concerns raised by the abnormal lab results.

Ultimately, the decision to proceed with surgery when lab results are off depends on a careful evaluation of your health status, the risks involved, and the potential impact on the surgical outcome. Always communicate openly with your healthcare team to ensure the best decisions are made to prioritize your safety and well-being.

Daniel Barrett, MD · Answer

Dear Nica121291,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Your surgeon will be able to determine whether it would be safe for you to proceed. They are more familiar with your situation.

Zoran Potparic, MD · Answer

Surgery that you have in mind is very extensive and only a patient in perfect health is a good candidate for safe outcome. The issue with your labs and current medical condition needs to  be cleared with both by your medical doctor (PCP) and a plastic surgery team. Please, delay your surgery for time being. Good luck.

Farbod Esmailian, MD · Answer

Given the abnormal labs that you have, I would not undergo elective surgery until you and your doctors have figured out what the abnormality is from.  Those levels are significant and I as a surgeon would not want to proceed forward with your surgery at this point.
I would recommend mentioning the labs to your surgeon as well as your primary care physician (internist) so that he/she can proceed forward and investigate why your labs are abnormal.
Hope that helps.

Sergio Sanchez-Bailon, MD · Answer

In any procedure you need to have a preop consultation where your lab work is evaluated as well as a preop risk assessment done by an internal medicine professional. There we can evaluate if your overall health is good for an aesthetic procedure, and if we need to get something tested and treated we can do si before hand. Remember your safety will always be first.

Connie Hiers, MD, FACS · Answer

You need to discuss this with your surgeon since only your surgeon will decide if you should have surgery. Ideally, you would postpone your procedure and meet with your medical doctor to do further testing.

Lisa L. Jewell, MD · Answer

Hopefully your primary care doctor has seen your lab results and will follow up with you to determine why your calcium and other labs are abnormal. Your calcium is only slightly elevated, but can be a sign of problems with your parathyroid glands. High serum calcium can impact your heart function as well.

Camille Cash, MD · Answer

Your safety is always the number one priority in surgery.  Your surgeon or the physician who ordered your labwork should be in contact with you to discuss your results.  The lab results you listed indicate that your surgery may need to be postponed.  It is best if all labs are within normal range for your safety.

Darryl J. Blinski, MD · Answer

With those abnormal labs you should cancel surgery and obtain a full work up to see why your labs are so abnormal and  obtain full medical clearance to do surgery …. Plus you have a hepatitis positive result ! Your health is much more important than having a TT or implants

Can I still have the surgery if my labs are off?

Answers (11)

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